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RELATIONSHIP BETWEEN FAMILY SUPPORT DEALING WITH ANXIETY BIRTH MOTHER PREGNANT CHILDREN FIRST TO THIRD QUARTER Reta Budi Aprianawati Rr. Sulistyorini beautiful Ria S. Psi., Psi ESSENCE
This study aims to examine the relationship between family support with anxiety of pregnant women facing their first child during the third quarter. Preconception posed in this study is that there is a negative relationship between family support with anxiety of pregnant women facing their first child during the third quarter. The higher received family support, the lower the anxiety of pregnant women facing birth first child during the third quarter. Subjects in this study were pregnant mothers womb to age seven to nine month containing the first child and have a husband. Retrieval technique subjects method used was purposive. Pregnancy Anxiety Scale refers to those aspects that presented by Maher (Calhoun and Acocella, 1990). Family Support Scale refers to the aspects proposed by Taylor (1995). Methods of data analysis in this study using correlation techniques SPSS 12.0 for windows to test whether there is a relationship between family support with anxiety pregnant women facing their first child during the third quarter. Product moment correlation of Pearson correlation of r = indicates -0, 392 with p = 0, 006 which means there is a relationship a highly significant relationship between family support with the anxiety of pregnant women facing birth first child during the third quarter. So the research hypothesis is accepted. Keywords: Family Support, Anxiety Pregnant Women Facing the Birth of First Child Third Quarter Period

A. INTRODUCTION
Background Issues First pregnancy for a woman is one of the periods of crisis in his life. This new experience gives mixed feelings Diffuse, between happy and hopeful with worries about what will experienced during pregnancy. Anxiety can arise because the long time awaiting the birth of uncertainty, besides the shadow of halhal terrifying during delivery, although what he imagined not necessarily occur. This situation caused a drastic change, not just physical but also psychological (Kartono, 1992). Months from September to November 2003, the Office of Special Services Section

West Java Provincial Health in cooperation with the Bandung Mental Hospital, Mental Hospital Cimahi, and Section of Psychiatry FKUP / RSHS conducted a survey on mental health pregnant and lactating women in 112 health centers 24 districts of West Java Province. Result This study shows, 798 persons or (27%) of 2928 pregnant women respondents and lactation, showed signs of anxiety or psychiatric disorders anxiety, (www.pikiranrakyatbandung.com). Taylor (1995) says that anxiety is an experience subjective mental tension alarming as the general reaction and inability to face problems or a sense of security. Feelings generally produce this unpleasant physiological symptoms (such as trembling, sweating, increased heart rate, etc.) and symptoms psychological (such as panic, tense, confused, unable to concentrate, and etc.). With more and more parents of pregnancy, the expectant mother's attention and thoughts start fixed on something that is considered the climax, so the anxiety and fear experienced by pregnant women will be more intense just before childbirth (Kartono, 1992). Fear of pregnancy was ranked the top The most commonly experienced by mothers during pregnancy (Lestaringsih, 2006). Buffering hypothesis refers to the theory which holds that social support affects health by protecting individuals from the effects of negative stress. This protection will be effective only when individuals face severe stressor. Family support, especially the support obtained from husband will meimbulkan inner peace and feelings of pleasure in the wife (Dagun, 1991). Based on the above exposure, family support given to Pregnant women can cultivate a sense of calm, safe, and comfortable so that anxiety can affect pregnant women. Reader Review Anxiety Pregnant Women Facing the Birth of First Child In The Third Quarter According to Lazarus (1976) anxiety is a psychological condition threaten the existence of the individual, where it causes the threat is not clear that individuals do not feel do not know, confused, and scared to be able to face the future. Maramis (1980) says that anxiety is a tension, insecurity, fear, arising because it is felt will experience an unpleasant incident. Face childbirth is a concrete situation or condition that threatens self

which causes a feeling tense, anxious, afraid, at first pregnant woman (Zanden, 1985). According Heerdjan and Hudono (Hermawati et al, 1994) that the third trimester of pregnancy, psychological and emotional lives of pregnant women held by feelings and thoughts about the upcoming labor and responsibilities as a mother who will take care of her child. The new first lady contain, will feel restless, anxious, and afraid to face the pain manjelang childbirth. From the above description, it was concluded that the anxiety experienced by women during pregnancy will be intensified during the last weeks before delivery. Of the various definitions of this anxiety, the authors conclude that the anxiety of pregnant women facing childbirth The first period of the third quarter is a psychological condition or feelings unpleasant threatening content of the individual during the seven nine months in which the object of anxiety is unclear or vague due to physiological changes such as changes in body shape or the uterus is getting bigger and stomach dropped and pressures that is felt in the stomach that causes instability psychological condition, such as fear, worry, anxiety and do not know what will happen and who should he do after his first son was born. Family Support Defined family support from social support. Definition of support social is still debated even lead to a contradiction (Yanuasti, 2001). Social support is often known by other terms of support emotion of sympathy, which is a proof of affection, attention, and willingness to listen to the complaints of others. A number of other people who Potential support is referred to as a significant other, for example as a wife of his significant other is a husband, children, parents, in-laws, and brethren. Sarafino (1990) says that the needs, capabilities, and resources support change throughout one's life. Family The first is an environment which is known by individuals in the process socialization. Family support is aid that can be given to Other families in the form of goods, services, information and advice, which makes support recipient will feel loved, appreciated, and peaceful (Taylor, 1995). Rodi and Salovey (Smet, 1994) revealed that family and marriage is the source of the most important social support.

From the definition mentioned, the authors conclude that family support is very beneficial in controlling one's level of anxiety and may also reduce the pressures that exist in conflict happened to him. Support in the form of encouragement, motivation, empathy, or assistance that can make another individual feel calmer and safer. Obtained support from the family consisting of husband, parent, or other close family. Family support can bring pleasure, a sense of safety, satisfaction, comfort and make the person feel get emotional support that will affect the welfare of the soul humans. Family support related to the formation of mental balance and psychological satisfaction. Hypothesis In this study the proposed hypothesis, which reads as follows: there negative relationship between family support with the anxiety of pregnant women face of the first birth during the third quarter. The higher support the family the lower the anxiety levels of pregnant women face of the first birth during the third quarter. B. RESEARCH METHOD Identify Research Variables Variables used in this study are: 1. Independent variables: Family Support. 2. Dependent variables: anxiety Pregnant Women Facing Child Birth First During the Third Quarter. Operational Definition of Research Variables 1. Anxiety Pregnant Women Facing the Birth of First Child In The Quarter Third Maternal anxiety during the third quarter of the first child is feeling or psychological condition that is not pleasant due to changes physiological condition that causes psychological instability, as well as marked with symptoms of physiological and psychological and occurs when individuals experiencing feelings of stress, frustration, worry, and fear experienced by women pregnant to give birth to her first child and age of the womb in the third quarter which is seven to nine months. Anxiety pregnant women facing childbirth first during the third quarter was measured using a scale of maternal anxiety Pregnant is the scale developed by researchers who are based on aspects emotional, cognitive, and physiological. The higher the score the higher the scale anxiety levels of pregnant women facing their first child during the quarter

third. 2. Family Support Family support is a useful aid in emotional and provide a positive influence in the form of information, instrumental assistance, emotional, and the assessment given by members of the family consisting of husband, parents, and other relatives of the pregnant women who will give birth to a child first during the third quarter to improve the physical well-being and psyche. Family support was measured using a scale of family support compiled by researchers based on aspects of assessment, instrumental aspects, aspects information, and emotional aspects. The higher the score on the scale then the higher the family support received by pregnant women will gave birth to her first child. Research Subjects The subject of this study were pregnant women who will give birth to a baby His first and kandungannnya have entered the age in the third quarter, seven up to nine months to check the ingredient in some hospitals Maternity Purwokerto. Subjects imposed in this study using a purposive sampling technique. Data Collection Methods Scale as a method for data collection that aims to be reveal the amount of family support with the anxiety of pregnant women facing The first child born during the third quarter. Anxiety Scale Pregnant Women Facing the Birth of First Child In Time Third Quarter Anxiety scale was intended to reveal high and low anxiety of pregnant women facing their first child during the third quarter. Maternal anxiety scale consists of aspects of emotional, cognitive, and physiological. These aspects are organized into aitem-aitem the form of positive statements (Favorable) and negative statements (unfavorable). Total aitem on this scale is 50 aitem which has four alternative answers to the SS (Very Match), S (As), TS (Not Available), STS (Very Not Available). Family Support Scale Family support scale was intended to express high lack of family support received yng mother during her pregnancy. Scale Family Support consists of aspects of assessment, instrumentar, informational, and emotional. These aspects are arranged into the form aitem-aitem the positive (favorable) and negative statements (unfavorable). Total

aitem on this scale is 50 aitem having four alternative answers are SS (Very Match), S (As), TS (Not Available), STS (Very Not Available). Data Analysis Methods Data obtained in this study will be analyzed statistically using the technique of Pearson Product Moment Correlation for determine the relationship between the Family Support Pregnant Women With Anxiety Facing the Birth of First Child In The Third Quarter. To facilitate statistical calculations, the analysis was performed using assistance programs Statisical Package for Social Science (SPSS) 12:00 for Windows.

C. RESEARCH RESULTS
Table 1 Description of Research Data Score hypothetical Scores empirical Variable X Min Max Mean SD X X X Min Max Mean SD KIH 33 132 82.5 16.5 46 87 69.5 10.884 DK 40 160 100 20 98 160 138.725 13.10899 Description: KIH = Anxiety Pregnant Facing the Birth of First Child DK = Family Support Table 2 Variable Data Categorization Anxiety Pregnant Women Facing Child Birth First In The Third Quarter Category Range Score Number Percent Very Low x <52.8 2 5% Low 52.8 72.6 21 x 52.5% Moderate 72.6 <x 92.4 17 42.5% Height 92.4 <x 112.2 0 0% Very High x> 112.2 0 0% Total 40 100% Table 3 Variable Data Categorization Family Support Category Range Score Number Percent Very Low x <64 0 0% Low 64 x 88 0 0% Medium 88 <x 112 2 5% Height 112 <x 136 14 35%

Very High x> 136 24 60% Total 40 100% The hypothesis presented in this study stated that there negative relationship between family support with the anxiety of pregnant women face of the first birth during the third quarter has a correlation of r = -0, 392 with p = 0.006. The figure shows the relationship very significantly between the two variables. Thus, the hypothesis that stated there is a relationship between family support with the anxiety of pregnant women facing the birth of first child received the third quarter. D. DISCUSSION The results of these studies show that the correlation coefficient r = -0.392 with p = 0.006 (p <0.01). Based on the results of data analysis is known that the hypothesis research that states there is a negative relationship between family support with anxiety of pregnant women facing their first child during the third quarter accepted. This means that the higher the family support the lower anxiety levels of pregnant women facing their first child during the quarter The third, and vice versa. Acceptance of the hypothesis indicates that the effect of family support to face the birth of first child anxiety experienced by mothers pregnant. Family support to pregnant women may cause inner peace and feelings of pleasure in pregnant women. Families have major role in giving impetus to his wife before the other party to give my encouragement (Dagun, 1990). Zanden (2007) says that the face of labor is a concrete circumstances that threaten the self that causes feelings of pregnant women tense, worried, and scared. For that reason, pregnant women trying to succeed in deal with the situation as well as possible until the delivery arrives. Presence physiological changes that cause instability psychological condition during the pregnant foster an ongoing concern in the face of birth first baby in pregnant women. Such feelings will manifest in the form an anxiety. Anxiety is followed by feelings of doubt, there are times when less recognized by the concerned so that last a long time in her the longer it will have a frequency and higher intensity. Change emotions are not the same on every pregnant woman. These differences depend on individual personality, the type of stress experienced, and emotional support obtained from the woman (Effendi & Tjahjono, 1999). Some researchers suggest an increased dependence on both

physical and psychological abuse in pregnant women. Research Werner (2000) concluded that the physical and psychological changes that occur in pregnant women increases dependency need. The study also shows the need for attention larger, the desire to ensure that the help they need available, and the desire for the involvement of friends and family. This is reinforced with research Marks & Kumar (Oktavia, 2001) which shows that anxiety experienced by pregnant women is more widely available to those who receive less social support. Factors that can reduce anxiety occur in women who give birth is a family support can be either from husbands, family or other relatives, parents, and in-laws. Support families who obtained the prospective mother will cause feelings of calm, positive attitude towards oneself and pregnancy, it is expected that mothers can maintain good pregnancy until delivery. By having family support pregnant women are expected to maintain the condition psychological health and more receptive to physical changes and control emotions that arise. Family support, especially the support obtained of husbands will cause a feeling of inner calm and happy within myself and wife (Dagun, 1991). The results showed that 52.5% of pregnant women facing the subject The first child born in the category of low anxiety, 60% of the subjects to assess that the support obtained from family is very high. Family Support high due to emotional support, support insrumental, informational support, and provided a good assessment of the family to pregnant women, which can grow good relations between families and pregnant women and preventing anxiety arising from physical changes that affect mood. Pregnant women with family support high will not be easy to assess the situation with anxiety, because pregnant women with this condition know that there will be a family that helps. Woman pregnant with high family support will change in response to the source anxiety and went to his family to unburden himself. In line with this research, Sagrestano, et al (1999) in his study mentioned indicated that social support provides a beneficial effect on physical and mental kesehtan in pregnant women. In the present study also obtained donations affective family support to face the anxiety of pregnant women during the birth of first child The third quarter is sebesar15, 4%. This shows there are 84.6% of other variables that affect the incidence of anxiety in women facing childbirth

first pregnancy. The possibility that other variables, among others, are status and economic and social level of knowledge about pregnancy. A woman first pregnancy has not been well established that social and economic will feel anxious, and afraid in meeting the needs of the baby to be born, and vice versa. Worry face the birth of a baby is also affected by the level of knowledge about pregnancy. A pregnant woman first having knowledge of the pregnancy by either allowing himself able to anticipate and prepare to be able to cope with anxiety in the face of birth her baby as are also the opposite. In conducting the research contained methodological weaknesses: the proportion of family support is not explicit. Sources of family support husband, parents, family or others do not have a division percentage clear. On a scale of maternal anxiety made by researchers, there is aitem containing social desirability, causing low validity and reliability on the tool measuring. E. CONCLUSION The results of data analysis and discussion on these studies show that there is a very significant negative relationship between family support with anxiety of pregnant women facing their first child during the third quarter. These results prove that the higher the family support received pregnant women facing their first child during the third quarter it will be the lower the anxiety experienced by pregnant women is, as are conversely the lower the family support received by pregnant women face the birth of her first child during the third quarter, the higher anxiety experienced by the pregnant mother. Donations affective family support against pregnant women face the anxiety of birth for 15.4% and 84.6% Another is the contribution of factors other than family support. F. ADVICE 1. For further research Woman's anxiety during pregnancy can be affected by several Other factors such as personal circumstances of pregnant women, pregnant women's knowledge level about labor and delivery, marital status, socioeconomic status, anxiety toward the baby, and so forth that need to be considered at further research. In addition it is advisable to pay more attention to the content on variabelvariabelnya. In a study using a source of support from family

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